Provider Demographics
NPI:1215035530
Name:MCLARNEY, ELIZABETH ANN (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANN
Last Name:MCLARNEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:17 BELMONT AVENUE
Mailing Address - Street 2:SUITE #2
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301
Mailing Address - Country:US
Mailing Address - Phone:802-254-7787
Mailing Address - Fax:802-254-5937
Practice Address - Street 1:17 BELMONT AVENUE
Practice Address - Street 2:SUITE #2
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301
Practice Address - Country:US
Practice Address - Phone:802-254-7787
Practice Address - Fax:802-254-5937
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2011-08-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VT0420010156207X00000X, 207XS0114X, 207XX0005X
VT042-0010156207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTOVN2457Medicaid
VN2457Medicare ID - Type Unspecified
H28059Medicare UPIN